Renal abscess after the Fontan procedure

A case report

Anurag Mehrotra, Pallavi Khanna, Suresh Kumar, Georgi Abraham

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction. The Fontan procedure is an intervention that helps to correct single ventricle physiology. There are many known long-term complications of 'Fontan physiology'. However, the occurrence of renal abscess in such patients has not yet been reported in the literature. The first generation of adults has now undergone the procedure and it is necessary to be aware of the long-term outcomes and complications associated with it. Case presentation. We report the case of a 22-year-old South Indian man who had developed a staphylococcal renal abscess against a background of xanthogranulomatous pyelonephritis, nine years after Fontan surgery. He presented to our hospital with a high-grade fever of 25-days duration but with no other symptoms. Physical examination identified costovertebral angle tenderness and pedal edema. An ultrasound scan revealed a mass in his left kidney. The results of a computed tomography scan were consistent with a renal abscess. Despite treatment with the appropriate parenteral antibiotics, there was no change in the size of the abscess and a left nephrectomy was performed as a curative procedure. Conclusions: The learning points here are manifold. It is important to be aware of the possibility of renal abscess in a post-procedural patient. The early diagnosis of a septic focus in the kidneymay help to prevent the rare outcome of nephrectomy.

Original languageEnglish (US)
Article number50
JournalJournal of Medical Case Reports
Volume5
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

Fingerprint

Fontan Procedure
Abscess
Kidney
Nephrectomy
Xanthogranulomatous Pyelonephritis
Physical Examination
Foot
Early Diagnosis
Edema
Fever
Tomography
Learning
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Renal abscess after the Fontan procedure : A case report. / Mehrotra, Anurag; Khanna, Pallavi; Kumar, Suresh; Abraham, Georgi.

In: Journal of Medical Case Reports, Vol. 5, 50, 01.01.2011.

Research output: Contribution to journalArticle

Mehrotra, Anurag ; Khanna, Pallavi ; Kumar, Suresh ; Abraham, Georgi. / Renal abscess after the Fontan procedure : A case report. In: Journal of Medical Case Reports. 2011 ; Vol. 5.
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